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Another surgery.

This one won't be so drastic as the last one. Today is exactly seven months out from my surgery, and I had a doctor's appointment to re-check my foot. She asked about my symptoms and I told her that my foot is more stable. She picked up on my pain, and immediately located a very sore spot. She says the screws they used when fusing my joint (the one about halfway between the toes and the ankle), are causing me pain. The bone is perfectly healed, and the screws can come out. Some patients keep them in, but since they're causing pain, we think it's better to get them out.

I know, as with the other surgery, that the RSD could be an issue. This surgery is done awake, under an ankle block, and with x-ray guidance. I'll be able to walk out of the hospital that same day (although knowing the liability junk, I don't know if I'll walk or get pushed). It looks like I'll wait until February, since my holistic health J-Term course meets every day.

I know I was adiment that I'd never have surgery, but I do see what she's talking about. Recently, when I'd get a really good pain stretch, where I'd be at a 3 or 4 when I woke up, I'd notice that just before the flare, I'd see an increase of pain near the screws. Maybe this will help take away at least one of the RSD triggers. I would really really love to feel better if I can.

I'm very excited that I'll be awake for the surgery. That means no barfing my guts out for a day or two. Seriously, an ankle block seems like a minor thing to me right now. As I've always said, let me listen to a book, or talk to me about something else and I'm fine. And now that I know some relaxation techniques, I'll be able to use them to help the healing process and my own coping mechanism.

Remembering this last summer should make this little bump in the road easy. I know that God has given me the tools to handle this, and will provide those I don't have yet.

The decision I sstill have to make is whether to stay at school after the procedure. That would get me ambulating faster, and I'd have the ability to take care of myself more easily in the sense of handling my own sleep/eating schedule. But I'd have to ask friends if they'd mind helping some with certain tasks, such as taking out the dog. And because of the stitches, I won't be able to wear LidoDerm for a while after that.

Just thinking aloud here. But I am not too worried... yet. I'm just so relieved I won't need general. General anesthesia and Neurontin are on the same preference plain right now... NOT ON YOUR LIFE!!!!

Comments

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(Anonymous)
Dec. 18th, 2006 09:08 pm (UTC)
I'm sorry you need another surgery, Nickie, but I'm glad you have a good attitude about it, and I hope it will help!

And I'd add a hearty AMEN to the bit about general anesthetic. It doesn't usually make me sick, but it knocks me out for a lot longer than it should.
puppybraille
Dec. 18th, 2006 09:48 pm (UTC)
Yeah, I don't really know how long I was officially out for, but I couldn't focus most of that day. It's a very creepy feeling not to be able to control your own state of consciousness.
hurricaneamy
Dec. 19th, 2006 05:06 am (UTC)
Oh man. Sounds like you and I will get to share more post-op notes.

Seriously. Hugs, and I'm praying for you. You definitely seem more at ease with this one. I'm so sorry the screws are hurting you so much, and I do pray that when they remove them, the pain lessens, at least in this way. Keep me posted okay?
puppybraille
Dec. 21st, 2006 03:39 am (UTC)
I hope we don't have some weird connection where when it rains for one of us, it rains for the other in the health arena. Seriously, I appreciate the prayers, and I'm praying for you too. This surgery looks so much easier than the other given what my doctor told me. I haven't been able to find any literature on it, mainly because I can never remeber what joint I had fused in the anitomical term.

I'll definitely be writing here, and we can of course compare notes on the messengers or skype.
amm_in_paris
Dec. 19th, 2006 06:36 am (UTC)
Good luck on your surgery :-)
puppybraille
Dec. 21st, 2006 03:41 am (UTC)
Thanks!
less_convenient
Dec. 21st, 2006 01:31 am (UTC)
Much luck to you!
Hi Nickie,

Well, it sucks to have another surgery, but how cool to think that you could get relief from removing the screws!

I want to thank you again for your openness about Neurontin. It's one thing to hear about it from a medical professional who has never taken it. It's another to hear someone's personal experience. :)

I've never heard of an ankle block. It certainly sounds easier than what you went through with general anesthesia. I'm hoping you're up and moving very quickly with a trigger point gone (or greatly reduced).

Are you allowed to cut up the Lidoderm and put it around (not on)the stitches for relief?
puppybraille
Dec. 21st, 2006 03:51 am (UTC)
Re: Much luck to you!
I think I could cut up some of the patches and piece them around the stitches, but I'm not sure how the dressings will be set up. I think it will all depend on that. The foot is kind of a weird place for the patches to be put. I think between the sighted people who happen to be around me and I, we'll figure something out.

Ankle blocks are amazing. It's a few injections (the number depends I've had anywhere between 3 and 5), that go around your ankle. With a really good one, the foot is totally numb.

When I had my first surgery, I had an ankle block before and after the surgery (I wasn't awake for either), because they wanted me to have less chance of the RSD spreading further. It didn't stop the spread, but it didhelp with pain levels after surgery. I remember asking the nurse if I'd had the surgery yet or not. For the first few hours, my pain levels were better than normal. I don't think the nurses understood that part.

I'm glad I could help with the Neurontin. I agree that hearing it from a patient makes a difference. A few good friends have been able to help me out with figuring medications out, and I'm glad when I can share something to help someone else out. I think it's harder to figure out these things when there are so many possible interactions and dealing with the pain which can mess with concentration itself.

I'm sorry this has turned into such a novel. Thanks so much for stopping by and commenting!
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